It will share nuance with non-hygienic macros, yes. The difference here is that (1) unlike macros which hide what’s going on, the code is always expanded and can be patched locally with the visual indication of an edit, and (2) the changes to the origin block aren’t automatically propagated, you simply see +-patch clutter everywhere, which is actionable but not mandatory.
If you want to patch the origin without cluttering other locations, just move it away from there and put another copy into where it was, and edit.
The key idea is to still have the same copied blocks of code. Code will be there physically repeated at each location. You can erase “block <name> {“ parts from code and nothing will change.
But instead of being lost in the trees these blocks get tagged, so you can track their state and analyze and make decisions in a convenient systemic way. It’s an analysis tool, not a footgun. No change propagates automatically, so coupling problem is not a bigger problem that you would have already with duplicated code approach.
You can even gradually block-ize existing code. See a common snippet again? Wrap it into “block <myname> {…}” and start devtime-tracking it together with similar snippets. Don’t change anything, just take it into real account.